Mandatory information required:

Required Employer(Business) Information:

Federal Employer Identification Number (FEIN) used for Quarterly Wage Reports

Employer Name as it appears on Quarterly Wage Reports

Employer Address (Street, City, State, Zip) for receiving Income Withholding Orders (IWO's)

Required Employee(Newhire/Rehire) Information:

Employee Social Security Number (SSN)

Employee Legal Name (First, Middle, Last) as it appears on their Social Security card

Employee Physical Address Location (Street, City, State, Zip)

Employee Date of Hire - This is the latest date the individual began/returned to work

Employee State of Hire

What happens if new hires aren't reported?

Failure to report new hires in the future may result in the assessment of a $25.00 penalty per occurrence. To avoid citations, please review your records and report all newly hired or recalled employees within the last 12 months. This does not include previously employed or recently rehired employees (for the last 60 consectutive days).